• +91 7061225418
  • Maker Bazar, Guanj Masuriya Road Maker Saran
  • Mon - Sat: 09:00 - 06:00
Login / Register
0
Apply For Admission
0
logo

CFISEM SAFETY INSTITUTE

Established under act 1882 Registered Under Govt of Tamilnadu

REGISTRATION FORM

Application No
Course
PERSONAL INFORMATION
Name
Gender
Date of Birth
Age
Blood Group
Religion
Father Name
Mother Name
Occupation
Address
Mobile
Telephone
Email
EDUCATIONAL QUALIFICATION
SSC % Marks
SSC Board
SSC Pass Year
HSC % Marks
HSC Board
HSC Pass Year
Graduation %
Graduation Board
Graduation Year
DECLARATION
I hereby declare that all information given above are true to the best of my knowledge and I accept the rules and regulations of CFISEM Institute.
Signature
Date